Remote Inpatient Utilization Management Specialist
Cambia Health Solutions
- Remote job
Cambia Health Solutions is seeking a UM IP Clinical Specialist to support Inpatient Utilization Management cases. In this role, you will work from home and leverage your clinical knowledge to manage requests and collaborate with healthcare professionals. The ideal candidate has a high school diploma (or equivalent) and clinical experience, with strong communication skills and proficiency in Microsoft Office. A commitment to quality and compliance is essential, along with excellent organizational abilities. #J-18808-Ljbffr Cambia Health Solutions
- ...services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Specialist- 49936-1 Location(s): Remote Job Summary: Utilizing key principles of utilization management, the Utilization Review...Remote workWork experience placementWork at office
- ...offers industry-leading revenue cycle management services for healthcare providers.... ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR... ...rewarding environment. This is a fully remote or office/home hybrid position. Responsibilities...Remote workWork at officeFlexible hours
$55k - $70k
...Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue‑cycle management professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours- ...Make it happen at Hopkins! This is a remote position. Our organization is registered for remote work in the following... ...Under the general supervision of the UM Team Manager, the Utilization Management Specialist performs UM activities which includes admission review...Remote workWork experience placementLocal areaShift work
$51 per hour
...Utilization Management Specialist (UM / Utilization Review Nurse) - Remote Location: 100% Remote (U.S.) - Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon-Fri, 8:00am-5:00pm ET (1-hour lunch) - Flex after...Remote workFull timeContract workWork at officeLocal areaFlexible hours$51.46k - $60k
...Utilization Management Specialist Post Date: Jun 26, 2026 Location: Chicago, IL, US, 60624 Position Type:... ...schedule: Monday through Friday from 9:00AM-5:30PM (2-days remote, 3-days in office) Utilization Management Specialists...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hoursShift work- ...Utilization Management Specialist Our client, a health insurance company, is looking for a Utilization Management Specialist for their remote location. Responsibilities: ~50% Clinical Review & Authorization Determination ~ Reviews ABA treatment requests (...Remote workWork at officeImmediate start
$13 - $14 per hour
...$13.00 - $14.00 per hour Job Type: Contract Location: Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...regarding contracted health plans requirements related to Utilization Management and authorizations Acts as a liaison between providers,...Remote workHourly payContract workWork at officeShift work- ...A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency...Remote work
- ...electrical make ready design, and utility standards• Review and approve... ...designers, technicians, and specialists• Mentor team members (10-15... ...teams• Partner with project managers and leadership on workload... ...This role is designated as remote, giving you the flexibility to...Remote workWork at officeWork from home
- A healthcare services company seeks a Utilization Management Representative I, offering remote work with in-person training. Responsibilities include managing service claims, ensuring contract eligibility, and maintaining customer relations. Candidates must have a HS diploma...Remote jobContract workFlexible hours
$50k
Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on... ...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary...Remote job$46.76 - $51.76 per hour
...references. Follows NCQA Standards and departmental SOPS to manage member assignments. Conducts research and analysis of... ...internal stakeholders. Nice to Have: Prior experience in utilization management, care management, or payer-side review of ABA services...Remote jobWork at office- Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We truly believe in your development. For those who... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
$114k - $161k
Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant - Utility Return... ...: Hybrid - 3 days in office, 2 remote days per week 2025 Salary Range:... ...") is an employee‑owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week- Parkland Health is hiring a Coding Specialist III to ensure accurate coding and billing for inpatient encounters while working remotely. Candidates must have a minimum of three years coding experience, and relevant certifications from AHIMA or AAPC are required. The ideal...Remote job
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) - Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental...Remote workFlexible hours$114k - $161k
Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant - Utility Return... ...: Hybrid - 3 days in office, 2 remote days per week 2025 Salary Range:... ...") is an employee-owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week$128k - $191k
Job Title Principal Consultant - Utility Revenue Requirements Specialist Location Marlborough, MA or Washington, DC; open to remote employees Company Description Concentric Energy... ...( (“Concentric”) is an employee‑owned management consulting and financial advisory firm...Remote workWork at officeFlexible hours$24.61 - $34 per hour
...Inpatient Coding Specialist Inpatient Coding Specialist III Compensation: $24.61–$34.00 per hour (... ...impact in everything we do. Work remotely in a structured, performance-driven environment... ..., and DRG validation criteria. Utilize complete patient medical record...Remote workHourly payFull timeWork from home$58.24k - $72.8k
ERM is seeking a Remote Utility Project Support Specialist to assist with customer inquiries regarding utility line projects. This part-time role involves managing a high volume of calls and ensuring customer satisfaction. The ideal candidate will possess strong communication...Remote jobPart time$85.7k - $128.54k
...while providing ample opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign... ...regulatory requirements. Serves as first-line SME/resource for inpatient UM questions; provides 1:1 coaching/shadowing support when...Remote jobImmediate start$23.52 - $34.28 per hour
...Medical Coding Specialist Reviews medical record documentation... ...intermediate level of inpatient accounts and behavior... .../procedure codes utilizing the 3M Encoder and CAC... ...feedback to the Manager of HIMS regarding any... ...Other Information Remote role (based out of Greenville...Remote workMonday to FridayDay shift- ...anomalies in those trends? Do you enjoy managing projects and building relationships... ...with customers? LCS is seeking a Metered Utilities Specialist whose primary function is to manage... ...schedule available; 50% in the office, 50% remote About LCS London Computer Systems (LCS...Remote workLive inWork at officeRelocationWork visa
- ...2 days ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact At... ...difference every day. Job Summary The Utilization Review department manages all aspects of a patient’s stay... ...schedule of 2 days in office and 3 days remote after successfully completing their...Remote workFull timeWork at officeMonday to Friday
$18.65 - $19.9 per hour
...enabled revenue cycle management solutions for health systems... ...Senior Patient Access Specialist is responsible for... ...physician order while utilizing an overlay tool and... ...emergency, outpatient, and inpatient situations including... ...Top Workplace for Remote Work 2024Great Place to...Remote workWork at officeLocal area$75k
...Santa Barbara Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical teams to make informed decisions. Candidates must hold an active...Remote work$19.83 - $29.49 per hour
...Behavioral Health Specialist - Inpatient Psychiatry Waltham (nights) Position Summary: We're looking... ...lead to behavioral escalation and utilizes non-verbal and verbal techniques to de... ...Posting Category: Behavioral Health Remote Eligibility: Onsite Only Children's...Remote workHourly payDaily paidTemporary workPart timeWork at officeShift workNight shiftWeekend work- Gateway Foundation, Inc. is seeking a dedicated professional in Chicago for a full-time position focused on obtaining clinical service authorizations and supporting clinical staff. The role requires a Bachelor's degree and 1+ years of relevant experience. Responsibilities...Remote jobFull time
- ...Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT... ...on conjunction with Coding management and leadership. 4.... ...applicable) Name: Certified Coding Specialist (CCS) Issuing Agency: American...Remote jobFull timeTraineeshipWork at officeLocal areaShift work
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